We have worked many overnight shifts in the ED caring for a hallway full of admitted patients because there were no inpatient ...

On November 25, 2025, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that puts forth policy and technical changes to ...

The CMS star ratings began as faint points of light helping patients navigate an increasingly complex galaxy of healthcare ...

The Centers for Medicare and Medicaid Services (CMS) have announced changes to the Medicare Advantage (MA) Star Ratings for 2026. These adjustments could significantly impact insurers, affecting their ...

Medicare Advantage insurers scored a Thanksgiving gift, as President Trump’s Medicare agency added back a bonus system that ...

Affordable Care Act (ACA) marketplace officials are hoping to get more plans into value-based care arrangements as regulators hope to not just build on getting people covered, according to federal ...

The CMS is proposing to overhaul the Medicare Advantage star ratings system, including by culling a dozen quality measures and removing a health equity reward. In a proposed rule released Tuesday, the ...

Top Medicare and Medicaid officials want to create a “universal foundation” of quality measures aligned across all programs in a bid to ease reporting burdens and confusion. Officials with the Centers ...

In a January 4 Health Affairs Forefront article, “Options for CMS Drug Price Negotiations,” Daniel Ollendorf and Dominic Voehler discuss pricing methodologies based on how much a drug improves health.

It has been 10 years since the Triple Aim was expanded to the Quadruple Aim (QA) to include “clinician well-being in the workplace” as a core health policy goal. This change came in response to the ...

The latest annual List of Measures under Consideration is part of a broader "Meaningful Metrics" initiative launched in 2017 to reduce red tape for providers. Most of the 2020 quality and efficiency ...